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TRISTAR Insurance Group
TRISTAR Insurance Group
501 – 1,000 कर्मचारी
परामर्शलॉजिस्टिक्सस्वास्थ्य सेवा
TRISTAR Insurance Group एक राष्ट्रीय थर्ड-पार्टी एडमिनिस्ट्रेटर है, जो नियोक्ताओं, बीमा कंपनियों और सार्वजनिक संस्थाओं को बीमा प्रशासन तथा जोखिम प्रबंधन सेवाएँ प्रदान करता है। कंपनी संपत्ति और दुर्घटना बीमा कार्यक्रमों, कर्मचारियों के मुआवज़े, सामान्य और ऑटो देयता, प्रबंधित देखभाल, अनुपस्थिति और दिव्यांगता प्रबंधन, कर्मचारी समूह लाभ प्रशासन तथा कार्यस्थल सुरक्षा में सहायता करती है। इसकी प्रबंधित देखभाल क्षमताओं में बिल समीक्षा, केस प्रबंधन, उपयोग समीक्षा, नर्स ट्रायेज और फार्मेसी लाभ प्रबंधन शामिल हैं। TRISTAR तकनीक-सक्षम संचालन को अनुकूलित सेवा के साथ जोड़कर ग्राहकों को जटिल बीमा और कर्मचारी लाभ संबंधी आवश्यकताओं के बीच जोखिम प्रबंधित करने में सहायता करता है।
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कंपनी की नौकरियाँ

Commercial Auto and General Liability Claims Examiner III - Remote

TRISTAR Insurance Group is seeking a remote, full-time Claims Examiner III to handle complex commercial auto and general liability claims across investigation, litigation, coverage, valuation, and settlement. The role also provides float coverage, client service, and coordinated claim resolution.

USसंयुक्त राज्य
$80,000 – $90,000 / वर्ष
रिमोटपूर्णकालिकवरिष्ठलीडआवश्यक भाषा: अंग्रेज़ीदावा विशेषज्ञ

विवरण

  • Investigate, assess, manage, and resolve complex commercial auto and general liability claims, including litigated matters.
  • Interpret policies, endorsements, and vehicle schedules to determine coverage and flag coverage issues.
  • Provide interim coverage for claims examiners during PTO, absences, and extended leave.
  • Review transferred files, identify pending actions and deadlines, and preserve handling continuity.
  • Maintain accurate claim diaries and complete timely follow-up on investigations, correspondence, litigation, and required actions.
  • Assess liability, damages, and exposure while recommending and updating reserves.
  • Create and communicate claim resolution and settlement approaches for clients.
  • Negotiate settlements within delegated authority and secure additional approval when needed.
  • Engage and oversee outside investigators and other service providers.
  • Collaborate with clients and counsel to move claims toward resolution.
  • Track litigation developments and assess recommendations from counsel.
  • Produce loss reports covering coverage, liability, damages, reserves, and recommended next steps.
  • Recognize subrogation and risk-transfer opportunities and begin recovery actions.
  • Keep claim files complete, accurate, and current.
  • Deliver responsive, professional service to clients and involved parties.
  • Coordinate file transitions with supervisors and returning examiners.
  • Support supervisors and the claims department with special projects and other assigned work.
  • Prevent claim backlogs while meeting client service-level agreements.

आवश्यकताएँ

  • High school diploma or GED is required.
  • At least seven years of commercial auto and general liability casualty experience is required.
  • At least 10 years of commercial auto and general liability claims experience is required.
  • An active Florida, New York, Georgia, or Texas license is required.
  • Hold a resident or designated home-state adjuster license and required nonresident licenses, or be able to obtain them through reciprocity or applicable state examinations.
  • Maintain required licenses and complete applicable continuing education.
  • Demonstrate advanced knowledge of commercial auto and general liability claims handling.
  • Understand claims-handling concepts, coverage issues, and relevant product lines.
  • Understand litigation procedures and claim valuation across multiple jurisdictions.
  • Apply advanced analytical, decision-making, and negotiation skills.
  • Communicate effectively in writing and verbally.
  • Manage complex claims independently with minimal supervision.
  • Prepare clear, thorough claim reports and recommendations.
  • Build and maintain relationships with clients, claimants, legal representatives, counsel, and service providers.
  • Demonstrate strong organization and time-management skills.
  • Adapt to unfamiliar claim inventories while maintaining service standards.
  • Use claims-management systems, computer applications, and related technology proficiently.
  • A bachelor’s degree in a related field is preferred.
  • An Associate in Claims (AIC) or Chartered Property Casualty Underwriter (CPCU) designation is preferred.
  • Experience providing float coverage or handling claims across multiple client accounts and jurisdictions is preferred.

लाभ

  • Fully remote work from home.
  • Full-time employment.
  • No travel required.

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